<%@ Control Language="VB" AutoEventWireup="false" CodeFile="CIssue.ascx.vb" Inherits="WebForms_CIssue" %>
<%@ Register Assembly="AjaxControlToolkit" Namespace="AjaxControlToolkit" TagPrefix="ajaxToolkit" %>

<div id="divMain" runat="server">
    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr><td style="font-size: 3px;height: 5px;"></td></tr>
    </table>

    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr>
        <td runat="server" align="left" style="font-weight: bold; font-size: 10pt; font-family: Arial;" id="Name_td">
            
        </td>
        <td></td>
        </tr>
        <tr>
        <td runat="server" align="left" style="font-weight: bold; font-size: 10pt; font-family: Arial;" id="Policy_td">
            
        </td>
        <td></td>
        </tr>
        <tr>
        <td runat="server" align="left" style="font-weight: bold; font-size: 10pt; font-family: Arial;" id="provider_td">
            
        </td>
        <td align="right" style="font-weight: bold; font-size: 10pt; font-family: Arial; color: #d63007;">
            Add New Client Issue
        </td>
        </tr>
    </table>

    <table border="0" cellpadding="0" cellspacing="0" width="800">
        <tr><td style="font-size: 3px; background-color: #105BA4; height: 3px;"></td></tr>
    </table>

    <br />

    <table border="0" cellpadding="0" cellspacing="0" width="800" style="background-color: #f2f3f5">
               
    <tr><td style="width: 800px">

        <table border="0" cellpadding="0" cellspacing="0" width="800" style="height: 35px">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 111px;" align="left">
                    </td>
                <td style="width: 180px" align="left">
                    <asp:DropDownList ID="Name_cmb" runat="server" Width="184px" Visible="False">
                    </asp:DropDownList></td>
                <td style="font-size: 10pt; font-family: Verdana; width: 72px;" align="left">
                    &nbsp;&nbsp; Date:</td>
                <td align="left" style="width: 100px">
                    <asp:TextBox ID="IssueDate_txt" runat="server" Width="104px"></asp:TextBox><br />
                    <asp:Label ID="Label1" runat="server" Font-Names="Verdana" Font-Overline="False"
                        Font-Size="7pt" ForeColor="Gray" Text="dd/mm/yyyy" Width="64px"></asp:Label></td>
                <td style="font-size: 10pt; font-family: Verdana; width: 100px;" align="left">
                    &nbsp; Issue Status:</td>
                <td align="left" style="width: 216px"><asp:DropDownList ID="IssueStatus_cmb" runat="server" Width="184px">
                </asp:DropDownList></td>
            </tr>
        </table>
            
    </td></tr>
    
    <tr><td style="width: 800px; height: 40px;">

        <table border="0" cellpadding="0" cellspacing="0" width="800" style="height: 32px">
            <tr>
                <td style="font-size: 10pt; font-family: Verdana; width: 106px;" align="left">
                    &nbsp;Remarks:</td>
                <td style="width: 590px" align="left">
                    <asp:TextBox ID="Remarks_txt" runat="server" TextMode="MultiLine" Width="650px"></asp:TextBox></td>
            </tr>
        </table>
            
    </td></tr>

    <tr><td style="width: 800px; height: 40px;">

        <table border="0" cellpadding="0" cellspacing="0" width="800" style="height: 32px">
            <tr>
                <td style="width: 400px; height: 24px;"></td>
                <td style="height: 24px">
                    <asp:Button ID="Save_btn" runat="server" Text="Save" BackColor="Gainsboro" Font-Names="Verdana" Width="104px" />
                </td>
                <td style="height: 24px">
                    <asp:Button ID="Cancel_btn" runat="server" Text="Back" BackColor="Gainsboro" Font-Names="Verdana" Width="112px" CausesValidation="False" />
                </td>
            </tr>
        </table>
            
    </td></tr>

    </table>
    <div>
        &nbsp;<asp:CustomValidator ID="dtv1" runat="server" ClientValidationFunction="valDate"
            ControlToValidate="IssueDate_txt" ErrorMessage="Invalid Date" ForeColor="White"
            ValidateEmptyText="True">.</asp:CustomValidator>
        <asp:RequiredFieldValidator ID="rfv3" runat="server" ControlToValidate="IssueStatus_cmb"
            ErrorMessage="Issue Status Required" ForeColor="White" Text="."></asp:RequiredFieldValidator>
        <asp:RequiredFieldValidator ID="rfv4" runat="server" ControlToValidate="Remarks_txt"
            ErrorMessage="Remarks Required" ForeColor="White" Text="."></asp:RequiredFieldValidator>
        &nbsp; &nbsp;
        <asp:ValidationSummary ID="ValidationSummary1" runat="server" ShowMessageBox="True"
            ShowSummary="False" />
        &nbsp;<br />
        <ajaxToolkit:ValidatorCalloutExtender ID="ValidatorCalloutExtender2" runat="server"
            TargetControlID="dtv1">
        </ajaxToolkit:ValidatorCalloutExtender>
        <ajaxToolkit:ValidatorCalloutExtender ID="ValidatorCalloutExtender3" runat="server"
            TargetControlID="rfv3">
        </ajaxToolkit:ValidatorCalloutExtender>
        <ajaxToolkit:ValidatorCalloutExtender ID="ValidatorCalloutExtender4" runat="server"
            TargetControlID="rfv4">
        </ajaxToolkit:ValidatorCalloutExtender>
        <ajaxToolkit:MaskedEditExtender ID="Mask_ContributionDate" runat="server" Mask="99/99/9999"
            MaskType="Date" TargetControlID="IssueDate_txt">
        </ajaxToolkit:MaskedEditExtender>
        &nbsp; &nbsp;&nbsp;
    </div>
</div>